JUN SIK KIM DDS
NPI 1114433703
Dentist - Orthodontics and Dentofacial Orthopedics in Madera, CA

Active since December 19, 2017
1100 N GATEWAY DR, MADERA, CA 93637(559) 363-4160 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 4, 2021, Mar 17, 2018, Dec 19, 2017 (3 updates tracked since 2017).

About Jun Sik Kim Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUN SIK KIM DDS (NPI 1114433703) is an individual orthodontics and dentofacial orthopedics provider in Madera, California, licensed in California (51270) and active in the NPI registry since December 2017. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114433703
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameJUN SIK KIMCredential: DDS
Location Address1100 N GATEWAY DRMadera, CA 93637-9600
Mailing Address2366 E Pinehurst AveFresno, CA 93730-5950 · (754) 610-2356
Sole ProprietorNo
Enumeration DateDecember 19, 2017
Last NPPES UpdateOctober 4, 20213 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
NPI 1114433703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 51270
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

1100 N GATEWAY DR, Madera, CA 93637

Secondary Practice Locations 2

Location 14901 E Kings Canyon RdFresno, CA 93727-3812 · Phone (559) 490-1343
Location 21270 N Lemoore AveLemoore, CA 93245-2350 · Phone (559) 817-4080 · Fax (559) 817-4081

Accepted Insurance

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1100 N GATEWAY DR
MADERA, CA 93637
Dentist
1100 N GATEWAY DR
MADERA, CA 93637
Dentist
1100 N GATEWAY DR
MADERA, CA 93637
Dentist (General Practice)
1100 N GATEWAY DR
MADERA, CA 93637
Dentist
1100 N GATEWAY DR
MADERA, CA 93637
Dentist
1100 N GATEWAY DR
MADERA, CA 93637
Dentist (General Practice)
1100 N GATEWAY DR
MADERA, CA 93637
Dentist (General Practice)
1100 N GATEWAY DR
MADERA, CA 93637

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114433703, enumerated as an "individual" on December 19, 2017.

The provider is located at 1100 N GATEWAY DR MADERA, CA 93637 and the phone number is (559) 363-4160.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.